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RELATION 



OF 



BOARDS OF HEALTH 



TO 



INTEMPERANCE 



A. 

READ BEFORE THE NATIONAL CONVENTION OF HEALTH BOARDS ASSEM- 
BLED IN WASHINGTON CITY, JANUARY 2 1-2 3, I 8 74, BY 



PROF. MILO P. JEWETT, LL. D., 

LATE PRESIDENT OF THE BOARD OF HEALTH OF THE CITY OF MILWAUKEE. 



MILWAUKEE: 

MILWAUKEE NEWS COMPANY. PRINTERS. 

1874. 



RELATI ON 



OF 



BOARDS OF HEALTH 



TO 



INTEMPERANCE. 



READ BEFORE THE NATIONAL CONVENTION OF HEALTH BOARDS ASSEM- 
BLED IN WASHINGTON CITY, JANUARY 2 I -2 3, 1S74, BY 



PROF. MILO P. JEWETT, LL. D., 

LATE PRESIDENT OF THE BOARD OF HEALTH OF THE CITY OF MILWAUKEE. 



MILWAUKEE: 

MILWAUKEE NEWS COMPANY, PRINTERS. 
1874. 



c\ (0 






RELATION 



OF 



BOARDS OF HEALTH 

TO 

INTEMPERANCE. 



For nearly fifty years past the friends of humanity in this country 
have been engaged in efforts to stop the use ot alcoholic liquors as 
a common drink. The first half century from the declaration of our 
national independence had just closed when President Nott, Ly- 
man Beecher, the Rev. Dr. Hewitt, and a host of others, true men 
and mighty men all, sent through the land a cry of warning against 
the tyranny of an appetite which sought to impose upon our people 
a slavery more galling than that which aroused our fathers to arms in 
the war of the revolution. From that date to the present hour the 
agitation against the use of intoxicating beverages has never ceased. 
Multitudes of persons of either sex, moved by a generous pity, ani- 
mated by the purest philanthropy and the loftiest patriotism have 
banded themselves together to stay the ravages of the destroyer. 
The pulpit and the press have directed their potent energies to the 
same end. The medical faculty have unanimously declared the 
abuse of alcoholic stimulants to be a prolific source of disease and 
death. The highest judicial authorities have pronounced sentence 
on this practice, and drunkenness is punished as a criminal offense. 
Yet, after all that has been done we are compelled to admit that 
this giant evil still remains strongly intrenched in the customs and 
habits of the American People — the destroyer of individual lives, 
the bane of the family, the curse of society, the shame of our civili- 
zation.. 

And now, since the law requires Boards of Health "to examine 
into and consider all measures necessary to the preservation of the 
public health, and to see that all ordinances and regulations in rela- 
tion thereto be observed and enforced," it would appear to be in har- 
mony with the purposes of this meeting to discuss the question : 



What relation have these boards to the subject of intemperance? 
Have they any responsibility for the evils inflicted by it on their 
constituents? If this be affirmed how can they meet this responsi- 
bility? 

The writer of this paper is impressed with the conviction that 
this subject has not received from Boards of Health that considera- 
tion which its importance demands. 

Of all their annual reports which have come under his notice only 
two or three have given the subject any prominence. A single one, 
only — the report of the State Board of Massachusetts for 187 1 — 
shows an appreciation of the vital issues involved, and an earnest 
purpose to press these home on the people of that Commonwealth. 

There seems to be no good reason why every health board in the 
country, acting in the same intelligent and fearless spirit, should not 
investigate the facts connected with the popular use or abuse of in- 
toxicating liquors. Should it be found that these are inflicting in- 
calculable injury on society, it will then become the duty of these 
conservators of the public weal to devise plans for the speediest re- 
moval of existing evils. 

First. The first pregnant fact presented in the inquiry is this: Al- 
cohol is a poison, and all intoxicating liquors taken into a healthy 
human organism are deleterious just in proportion to the quantity of 
alcohol present. Such is the decision of the most eminent chemists 
and toxicologists of Europe and America. 

Sir Astley Cooper says : " spirits and poisons are synonymous terms. 

Dr. Munroe says: "alcohol is a powerful narcotic poison, and if 
a large dose be taken no antidote is known. " 

Forty-five physicians of Cincinnati testify that alcohol "is equally 
poisonous with arsenic. " Pereira, Orfila, Dr. Taylor, and Professor 
Christison rank it among the narcotic-acrid poisons. Dr. Percy, 
speaking of a case of instant death produced by this powerful agent, 
adds: "The mode in which death occurred was almost precisely 
identical with that of poisoning by a strong dose of prussic acid." 

Dr Wilson, in his "Pathology of Drunkenness," writes: "All 
these diversified proofs have pointed unchallengeably to the conclu- 
sion that alcohol is the most widely and intensely destructive of 
poisons. In large and concentrated doses there are few which are 
more promptly and inevitably fatal. In more moderate and diluted 
potions, continuously repeated, it is, with its own peculiar modifica- 
tions of action, obviously one of those so-called cumulative poisons 
of which science possesses other well-known examples in corrosive 
sublimate, foxglove, and arsenic. " Dr. William B. Carpenter and 
Dr. Edward Smith have expressed the same opinion in terms equally 
explicit. 

Second. We next consider the effects produced by alcoholic 
drinks on persons in health. The immoderate use of this poisonous 
drug generates a train of diseases which have no parallel in the cata- 
logue of ills that flesh is heir to. Among these Dr. Sewell enumer- 
ates dyspepsia, jaundice, dropsy, rheumatism, gout, palpitation, hys- 



teria, epilepsy, palsy, apoplexy, melancholy, madness, delirium tre- 
mens. To this list Drs. Trotter and Carpenter add forty-one others 
— all induced by the use of alcoholic liquors. In his prize essay on 
the "Use and Abuse of Alcoholic Liquors in Health and Disease," 
Dr. Carpenter gives the recorded opinion of over two thousand 
medical men in Great Britain who have signed the following: "We, 
the undersigned, are of opinion that a very large proportion of hu- 
man misery, including poverty, disease and crime, is induced by the 
use of alcoholic or fermented liquors as beverages. " 

It may be added that the effects of intemperance are not confined 
to the person of the inebriate himself, but re-appear in his children. 
If a woman indulges in spirituous potations, her babe will imbibe 
the poison with its mother's milk. If- the father alone is intemperate 
his offspring receive the taint in their blood and transmit it to their 
descendants. Says Dr. Bowditch, chairman of the Massachusetts 
State Board: "The sin of the intemperate use of ardent spirits is 
visited not only upon the third and fourth generation, but must act 
in all time unless radical reform be instituted. " 

Third. Look at the crime and pauperism for which intoxicating 
drinks are responsible. Judge Cady, of New York, after being 
about forty years on the bench, declared that "the greater portion of 
the trials for murders and assaults and batteries that were brought 
into court before him originated in drunkenness. " 

In 1867, the police of New York and Brooklyn made nearly 70,- 
000 arrests, of which liquor was the producing cause. 

In Philadelphia in the same year, 41,000 arrests were made, and 
the records show that three-fourths were cases arising solely from 
the use of liquor. 

In the same year there were in Chicago 23,000 arrests, more than 
20,000 of them occasioned by liquor. 

Milwaukee claims to be the most moral and orderly city in the 
Union, its people drinking chiefly the lager beer for which it is so 
famous ; yet of the arrests made by the police for the year ending 
March 31, 1872, nearly four-fifths of the whole were for offenses 
committed under the influence of intoxicating drinks. 

In regard to Pauperism, we have very strong evidence that fully 
three-fourths of it is produced by drinking. The Secretary of State 
of New York in 1863, reports that the whole number of paupers re- 
lieved during the year was 261,252 — one in twenty of the entire 
population. A committee, who examined into the facts, say that 
seven-eighths of these were made paupers by alcohol. That multi- 
tudes of individuals are reduced to beggary, and the nation is im- 
poverished by the use of intoxicating liquors, is evident from the 
vast sums of money expended in the production and distribution of 
an article which returns no equivalent therefor. An editorial in 
the New York Evening Post on "what our drinks cost us," presents 
some very suggestive statements on this topic. "In 1871, 3,524 dis- 
tillers were employed in producing domestic spirits, and 153,522 
licensed vendors made the whole into sherry cobblers, brandy 



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smashes, mint juleps, gin slings, and cocktails ; and, of course, we 
paid for them with princely liberality, giving five, ten, twenty-five, 
and fifty cents a glass for that which costs only from a tenth to a 
twentieth part of these amounts, thus putting into the pockets of 
our obliging friends, the dealers, the exceedingly handsome sum of 
more than $500,000,000— the clear profits of the licensed dealers 
over and above all expenses ! In this way we are spending half a 
billion annually on drinks, while we are thus supporting in ease and 
affluence from three to four hundred thousand able-bodied men be- 
hind counters to minister to our pleasures in bibification. " 

"Nor," continues the writer, "is the actual money expenditure on 
these drinks the whole of their cost to the nation. The vendors, 
with their attendants, make up an army of 300,000 to 400,000 per- 
sons, who, if they were not thus employed, might be at useful work, 
earning an average of $500 to $1,000 a year each. Thus withheld 
from remunerative work, the nation loses thereby from $200,000,000 
to $400,000,000, which, added to the first cost of the liquors and 
the profits of the dealers, makes a total of $800,000,000 to $ r, 000,000, 
000 annually, as the cost to the nation of the drinks in which our 
people indulge ; an immense outlay, exceeding by many times out- 
expenditures on churches, colleges, and schools." 

If we could add to these figures the amount by which the results 
of drinking increase the expenses of our courts, and jails, and pris- 
ons, our poor-houses, hospitals and insane asylums, the grand aggre- 
gate would be incredible, if not incomprehensible. 

Fourth. The waste of mind, and the consequent loss of intellec- 
tual power to the nation, is one of the most deplorable effects of 
the intemperate habits of the people. In our halls of Congress, in 
the seats of our judiciary, in our gubernatorial chairs, and in our 
State Legislatures Iioav often have the brightest intellects been veiled 
in perpetual eclipse, under the sorcery of the Circean cup. How 
often, in the morning of life, has the fatal spell mocked the promise 
of a radiant manhood, and extinguished it in darkness and despair, 
robbing the nation of her dower of genius and taste, learning and 
eloquence, piety and patriotism. But far more, destructive of na- 
tional mental force and vigor, though less conspicious, is the stupe- 
fying, besotting effect of inebriety on the masses which constitute 
the body of citizens controlling the destinies of this Republic. Our 
limits forbid enlarging on a theme at once so fruitful and so prophetic 
of disaster. 

Fifth. The blinding of the judgment, the perversion of conscience, 
the enervation of the will, the crushing out of all pure and tender 
affections are the inevitable sequence of habitual intoxication. 

Sixth. The baleful effects of our drinking usages pervade even- 
section, reach every corner of our broad land. They are not con- 
fined to particular localities, or bounded by any parallels of latitude, 
or limited by isothermal lines. The great mass of our male popula- 
tion practice the occasional drinking of spirituous liquors, and large 
numbers of our women not infrequently partake of the lighter in- 



toxicating beverages. But excluding the multitudes who claim that 
they never drink enough to hurt them, carefully prepared statistics 
show there are in the United States one million drunkards. Of these 
the greater portion live in the miserable hovels called their homes — 
the terror of broken-hearted wives and starving children; but many 
thousands of them are supported in our charitable, penal and refor- 
matory institutions, and 60,000 of them die every year. 

Seventh. To sum up : Intemperance is producing among our peo- 
ple a degree of physical weakness, mental imbecility and moral deg- 
radation which seriously impairs the vitality of the nation, and threat- 
ens to drag it down from the pedestal of power and grandeur on 
which our fathers placed it. 

That this conclusion is logical and just appears from the opinions 
of eminent physicians, scientists and statesmen, mostly derived from 
the Massachusetts State Report above quoted. 

The world-renowned Liebig says of ardent spirits: "He who 
drinks them draws a bill, so to speak, on his health, which must 
always be renewed, because for want of means he can not take it up. 
He consumes his capital instead of his interest, and the result is the 
bankruptcy of his body. " 

Professors Tilanus and Swingar, of Holland, write in favor of 
abolishing even the moderate use of strong drinks as "always un- 
healthy, " "the greatest underminer of the actual welfare of man- 
kind. " 

The secretary of the Netherlands Society for the abolition of 
strong drinks writes: "Gin is the beverage of the people, and to 
such an extent as to create a general anxiety about the future of the 
nation. " 

Hon. John Jay, Minister to Austria, says: "The degeneracy of 
the race in Gallicia is to be sought mainly in the excessive use of 
corn brandy. Of the men called to military duty, thirty-eight per 
cent, are rejected on account of physical disability and infirmity." 

Thomas Jefferson, in a letter written in 18 18, speaks of "the 
poison of whisky which is desolating the homes of our citizens. " 

The physicians of France, after various discussions of the evils 
resulting from the use of strong liquors, "feel called on solemnly to 
warn their countrymen against them. " 

Dr. Bowditch says: "We get from our correspondents a most 
shocking array of evidence, proving that the free and intemperate 
use of ardent spirits not only crushes out manliness in a man or 
woman, but actually dwarfs the offspring. The sin of intemperate 
use of ardent spirits is visited not only upon the third and fourth 
generation, but must act in all time unless radical reform be institu- 
ted. Even if a reform be begun several generations will be needed 
to redeem the progeny of such a degenerate race. What a warning 
this to our country in regard to the use and abuse of ardent spirits!" 

That profound thinker, Professor Gold win Smith, speaks of in- 
temperance "as threatening the very life of the community; it is 
producing a physical and moral pestilence more deadly in the deepest 



sense than any other plague which stalks the infected cities of the 
East." 

In view of the facts here presented can there be any doubt as to 
the duty of our Boards of Health in the premises? They surely 
cannot plead the want of power to act. The legislation which cre- 
ates these Boards assumes that the State is prosperous only in the 
physical vigor, the clear intelligence and the moral elevation of its 
people. All causes of disease are proper subjects of investigation, 
and it is the duty of Health Boards to expose these public enemies, 
to anticipate and prevent the developement of disease, and to arrest 
its progress, disarm it of its terrors, and utterly defeat and destroy 
it. So valuable to society is human life, so important are sound, 
hygienic conditions, that in great emergencies the State arms its 
Boards of Health with despotic power. When small-pox, cholera 
or yellow fever invades one of our cities, the law clothes the Board 
of Health with an authority scarcely exceeded by that of the mili- 
tary chieftain in time of war, when he proclaims a district under 
martial law. Like the decree of the Roman Senate ordering the 
consuls to take care that the Republic suffer no detriment, the law 
says to the Board: See that the plague touch not my people. In 
obeying this mandate the Board is invested with more than kingly 
prerogatives. The persons, the property, and, indirectly the lives 
of the inhabitants are at its absolute disposal. The lowest pauper 
in his filth and squalor is not beneath its notice. The millionaire in 
his palatial mansion is not above its reach. The whole police force 
of the city is placed under its orders, and the treasury throws open 
its coffers at its bidding. The sanitary board represents the sover- 
eignty of the people, all the powers which the instinct of self-preser- 
vation would summon to the rescue being delegated to this supreme 
committee of public safety. 

Arrayed in this royal investiture of power these Boards must bear 
a regal burden of responsibility. We have stated the facts which 
challenge their attention, and demand prompt and earnest 
action. It has been demonstrated that intemperance is making 
havoc of the health, the corporeal vigor, the mental energy, 
the labor and capital, the virtue and happiness of the nation. It is 
sapping the foundations of national life and extending its leprous 
.taint through all classes, threatening the disintegration and destruc- 
tion of society. It is a greater foe to civilization than was the 
plague of two hundred years ago, which desolated Europe. In every 
town and village in the land it is a perpetual plague, an abiding pes- 
tilence. It is the most stupendous nuisance of the age and the 
country. If ever contagious disease or baleful infection called For 
radical and summary measures the present exigency justifies them. 

Is it asked what sanitary measures our Boards of Health can 
adopt in order to stay the ravages of intemperance? It may be 
said in reply, negatively : 

First. In any action taken they should not enlist under any par- 
tisan banner, or affiliate with associations favoring or opposing what 
is termed " class legislation. " 



Second. They will not, necessarily, accept the dictum, "Alcohol 
is always, everywhere, and under all circumstances, injurious." 

Third. They will not place light wines, ale, and beer in the same 
category with strong liquors. 

Fourth. They will not make war on any worthy industry, or on 
capital invested in products which benefit the community. 

Fifth. They will not be obliged to take sides on the disputed 
point as to the expediency of using alcohol as a medicine. 

In short, our Boards would be governed solely by the principles 
of sanitary science, without reference to the theories of individuals, 
or the views of organizations, disregarding all considerations, other 
than those which should control them as the legally-constituted 
health police of their respective municipalities. 

Affirmatively, the above inquiry may be answered as follows : 

First. Our Boards ought to shut up at once and forever all places 
where ardent spirits are sold as a beverage. These tippling-shops 
are the occasion, if not the origin and cause, of nine-tenths of all 
the drunkenness that afflicts our country. They are the generators 
and propagators of idiocy, insanity, disease, and death, and ought to 
be instantly suppressed. 

Of course, this measure would encounter the most determined op- 
position. The manufacturers and vendors of intoxicating drinks, 
with a host of patrons, dependents, and flatterers, and with an enor- 
mous capital at their command, will denounce every attempt to abate 
these most outrageous of all nuisances as an attack on the rights of 
property, an invasion of personal liberty. "Personal liberty leagues" 
would be formed, and organized resistance to the sanitary police 
would stop short of nothing but mob-violence in their hostility to 
the proposed action. 

But these Boards, composed of intelligent, honorable, and public- 
spirited citizens, actuated by nothing but a disinterested concern for 
the public good, should not be intimidated by the threats of a class 
of men who are governed solely by self-interest ; who enrich them- 
selves by bringing others to poverty; who flourish most when most 
they scatter abroad firebrands, arrows, and death. In the case un- 
der consideration the boards have only to exercise their power as 
they are accustomed to use it, w T here the danger is less imminent and 
appalling. The cholera breaks out in one of our cities. Hundreds 
of homeless, houseless denizens are struck down. The hospitals can 
not contain them. The Health Board seizes on any public hall, 
warehouse, or church, or on a sufficient number of private dwellings, 
and fills them with patients. Again, a certain quarter of the city is 
crowded with dense masses of human beings, packed in underground 
cellars, reeking in filth, gasping for breath in the fetid atmosphere, 
dying by hundreds. Here the plague originated, and from this focus 
of contagion is spreading throughout the city. By a summary pro- 
cess, the Board of Health removes the wretched inmates, tears down 
the infected tenements, or applies the torch and burns up whole 
blocks. Once more, suppose, instead of the 8,000 dram-shops" in 
2 



10 

Philadelphia, which are dealing out "liquid poison, " there were 8,000 
butcher-shops which sold pork charged with trichi?ice, and that thou- 
sands of citizens, under the cravings of a morbid appetite, purchased 
and ate the diseased meat, and multitudes were dying from this 
cause, would the Philadelphia Board hesitate to abolish these pest- 
houses? But in all these cases the property-holders would remon- 
strate ; the dealers in trichina spiralis would be furious in their de- 
nunciation of this arbitrary interference with vested rights, this de- 
struction of a most respectable business protected by law. The re- 
ply is at hand : The safety of the State is the supreme law. So in 
regard to intemperance : Let its manifold and monstrous evils once 
firmly possess the public mind, and the conservators of the public 
health would be able to enforce the most stringent requisitions. 

Second. Ardent spirits should be put on the shelf of the drug- 
gist, and sold by him as other dangerous drugs are sold, on the order 
of a physician, for medicinal purposes only, and to responsible per- 
sons. 

Third. As a substitute for dram-shops, "Holly Tree" houses should 
be established where nutritious and palatable food, with tea and 
coffee, should be supplied at cheap rates. 

Fourth. Boards of Health should urge on physicians the greatest 
care in prescribing alcoholic compounds. The medical faculty are 
not agreed as to the expediency of using alcohol in medicines. It 
would be out of place, perhaps, to discuss the subject in this paper, 
but it is pertinent to quote the opinions of some, high authorities who 
support the negative of the question : 

The great Dr. Rush declared: "No man should be able to say 
that he made him a drunkard by recommending spirits. " Forty years 
ago Dr. Pye Smith said that "the prescriptions of some medical 
men, too careless of physical and moral results, have given great 
impulse to spirit-drinking. " Dr. Charles Jewett writes: "I have no 
doubt but that tens of thousands annually in this country are hurried 
out of existence by the uncalled-for and mistaken use of wine and 
brandy, " taken as a medicine. The eminent physician and physi- 
ologist, Dr. Carpenter, declares: "Nothing in the annals of quack- 
ery can be more truly empirical than the mode in which fermented 
liquors are directed or permitted to be taken by a large proportion 
of medical practitioners." In 1864, Dr. Higginbottom, the venera- 
ble surgeon of Nottingham, England, published the following: "For 
about thirty years I have not once prescribed alcohol as a medicine. 
I should consider myself criminal if I again recommend alcohol, 
either as food or medicine. During my long practice I have not 
known or seen a single disease cured by alcohol ; on the contrary, it 
is the most fertile producer of disease." In December, 1871, nearly 
three hundred of the most eminent members of the faculty in Don- 
don, headed by Dr. Burrows, president cf the Royal College of 
Physicians, and Dr. Busk, president of the Royal College of Sur- 
geons, subscribed the subjoined medical declaration: "As it is be- 
lieved that the inconsiderate prescription of large quantities of alco- 



11 

holic liquids by medical men for their patients has given rise in many 
instances to the formation of intemperate habits, the undersigned, 
while unable to abandon the use of alcohol in the treatment of cer- 
tain cases of disease, are yet of opinion that no medical practitioner 
should prescribe it without a sense of grave responsibility. They 
^elieve that alcohol, in whatever form, should be prescribed with as 
much care as any powerful drug, and that the directions for its use 
should be so framed as not to be interpreted as a sanction for excess, 
or necessarily for the continuance of its use when the occasion is 
past. " 

These citations sufficiently fortify the position that our sanitary 
boards should endeavor to secure on the part of medical men a 
greater degree of caution, in view of the danger of stimulating to 
frenzy an appetite which the prescription may create, or which the 
patient may have previously acquired. 

Fifth. Through their annual reports, by frequent communications 
to the press, and by every available means Boards of Health should 
strive to arouse the moral sense of the community to the enormity 
of the outrages committed against the people by the sale of intoxi- 
cating drinks to be used as a beverage. 

Sixth. The children and youth of our country should be educa- 
ted in sound sanitary principles in relation to this matter. They 
should be trained up to consider the use of alcoholic beverages, in 
the social circle or the festive hall, as a deadly enemy to their growth 
and development, bodily and mental, certain to result in the ship- 
wreck of all that is manly and noble in their natures. 

In conclusion, the writer is persuaded that the Health Boards of 
the country have it largely in their power to enfranchise our people 
from the bondage of evil habits. These Boards are constituted of 
representative men, distinguished members of the medical profession, 
and others familiar with various departments of sanitary science — all 
devoting themselves to the welfare of the community in the broadest 
spirit of philanthropy and patriotism, and all enjoying the confidence 
of their fellow-citizens. What class of citizens can more effectively 
employ moral suasion, or can recommend a wiser and more prac- 
tical legislation? Let the Boards in all our cities be harmonious in 
their views and united in their labors, and a few years will witness a 
revolution in public sentiment through which the nation shall stand 
forth "redeemed, regenerated, and disenthralled." 



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